AN EFFECTIVE skin-preparation agent cleans away microbes, then continues to inhibit pathogen growth between dressing changes. For central venous access devices (CVADs), this was traditionally accomplished with an iodophor or three alcohol swab sticks applied in concentric circles from the insertion site outward. But best-practice guidelines from the CDC, Agency on Healthcare Research and Quality, Infusion Nurses Society (INS), and Institute for Healthcare Improvement (IHI) now recommend a different agent and a different technique. 1

A 2% chlorhexidine solution is now recommended for skin antisepsis because of its superior antimicrobial action, ...

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